Prolonged hemidiaphragmatic paresis following continuous interscalene brachial plexus block: A case report.
Medicine (Baltimore)
; 95(24): e3891, 2016 Jun.
Article
en En
| MEDLINE
| ID: mdl-27310984
ABSTRACT
Interscalene brachial plexus block provides effective anesthesia and analgesia for shoulder surgery. One of the disadvantages of this technique is the risk of hemidiaphragmatic paresis, which can occur as a result of phrenic nerve block and can cause a decrease in the pulmonary function, limiting the use of the block in patients with reduced functional residual capacity or a preexisting pulmonary disease. However, it is generally transient and is resolved over the duration of the local anesthetic's action.We present a case of a patient who experienced prolonged hemidiaphragmatic paresis following a continuous interscalene brachial plexus block for the postoperative pain management of shoulder surgery, and suggest a mechanism that may have led to this adverse effect.Nerve injuries associated with peripheral nerve blocks may be caused by several mechanisms. Our findings suggest that perioperative nerve injuries can occur as a result of combined mechanical and chemical injuries.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Complicaciones Posoperatorias
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Parálisis Respiratoria
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Bupivacaína
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Bloqueo del Plexo Braquial
Tipo de estudio:
Diagnostic_studies
Límite:
Aged
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Female
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Humans
Idioma:
En
Revista:
Medicine (Baltimore)
Año:
2016
Tipo del documento:
Article